Shibata K, Koga Y, Onitsuka T, Wake N, Ishii K, Sekiya R, Sumiyoshi A
Jpn J Surg. 1986 Jul;16(4):277-83. doi: 10.1007/BF02470937.
Liposarcoma of the mediastinum is a rare disease. A 59 year old woman was seen with the complaint of dizziness. A chest radiogram taken during the course of investigation for hypertension revealed a large mass shadow 24 X 18.5 X 12 cm located in the anterior mediastinum. The tumor of the mediastinum was diagnosed as a benign lipoma when it was first resected, but subsequently proved to be a liposarcoma when it re-appeared 2 years and 10 month later. Based on the WHO classification, the mixed type of liposarcoma was diagnosed. The salient and pathological features of mediastinal liposarcoma are reviewed and compared with those nine cases reported in Japan and fifty in North America and European countries. Treatment by simple enucleation or shelling out of the tumor should be discouraged, since this seems to be the main cause of local recurrence. Surgical wide en bloc excision is the treatment of choice.
纵隔脂肪肉瘤是一种罕见疾病。一名59岁女性因头晕前来就诊。在高血压调查过程中拍摄的胸部X光片显示，前纵隔有一个大小为24×18.5×12厘米的巨大肿块阴影。纵隔肿瘤首次切除时被诊断为良性脂肪瘤，但2年零10个月后复发，后来证实为脂肪肉瘤。根据世界卫生组织的分类，诊断为混合型脂肪肉瘤。本文回顾了纵隔脂肪肉瘤的显著特征和病理特征，并与日本报告的9例以及北美和欧洲国家报告的50例进行了比较。应避免单纯摘除或剥离肿瘤的治疗方法，因为这似乎是局部复发的主要原因。手术广泛整块切除是首选的治疗方法。
